Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $49.24 / $184.28	Facility		$14.10	$49.24	$184.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $26.61 / $136.44	Professional		$14.09	$26.61	$136.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $30.56 / $39.88	Professional		$11.27	$30.56	$39.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.91 / $169.00 / $876.00	Facility		$14.91	$169.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $41.00 / $90.13	Professional		$16.73	$41.00	$90.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $16.42 / $37.36 / $60.24	Facility		$16.42	$37.36	$60.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $43.08 / $91.53	Professional		$18.44	$43.08	$91.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.82 / $23.78 / $61.39	Facility		$12.82	$23.78	$61.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $16.98 / $52.44	Professional		$9.59	$16.98	$52.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $27.54 / $37.18	Professional		$17.77	$27.54	$37.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $24.89 / $44.15	Professional		$18.51	$24.89	$44.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.75 / $92.53 / $92.53	Facility		$84.75	$92.53	$92.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $119.22 / $151.72 / $218.88	Professional		$119.22	$151.72	$218.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $15.98 / $26.63	Professional		$15.98	$15.98	$26.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.25 / $25.60 / $55.01	Facility		$15.25	$25.60	$55.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $24.90 / $60.20	Professional		$10.02	$24.90	$60.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $74.45 / $88.12	Professional		$74.45	$74.45	$88.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $22.26 / $30.21	Professional		$17.05	$22.26	$30.21
United Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $24.78 / $72.17	Professional		$14.51	$24.78	$72.17